Hearing impaired individuals generally have an increased risk of substance abuse issues because of the impairment, and treatment services must be available to them which serves their needs. People who are hearing impaired can seem to be alone, lack motivation, and be without goals because of their impairment. Many hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and have a temporary release from the emotional and psychological problems that come with possessing this handicap in everyday life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, because these individuals may try to hide their issue as a result of social stigmas that come with substance abuse. Having said that, drug rehabilitation counselors who provide treatment to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are definitely a must, as well as rehab services which address the unique challenges that hearing impaired individuals face. Group therapy gives a venue for important peer support to ensure treatment clients can know they are not on their own, and that there is hope to handle their problem with drugs and alcohol. Individual counseling services could be more tailor-made for everybody to ensure that their own problems can be treated in treatment.